MASSIVE COMMON BILE DUCT GANGRENE OF OBSCURE ETIOLOGY ENCOMPASSING THE ENTIRE HEPATO-DUODENAL LIGAMENT IN A CLINICALLY SILENT ADULT: WORLD’S FIRST CASE

INTRODUCTION

Common bile duct (CBD) gangrene is an extremely rare cause of spontaneous biliary perforation leading to life-threatening biliary peritonitis³. Only one such case has been reported, way back in the year 1951³. Herein, we present an unusual case of massive CBD gangrene that also involved hepato-duodenal ligament. Moreover, we propose an algorithm for its preoperative diagnosis. To our knowledge, such a case is yet to be reported.